380 likes | 479 Views
12 ?????7 ??????? ??????? ?"? ????8,9,10 ??????? ?? ??????11,12- "????? ??????"????? ??? ???? ????? ??"? ???? ?????? . ??? ??? ?????. ??? ??? ?????. ????? ??????? ??? ?????? ??? ???? 11,12 ????? ?????? ?? ????-????? ???? ???? ?-7 ?????? ??????? ??????? ???? 1-12T . ????? ??????? ?? ?? ????? ????????.
E N D
1. ????? ???????? ?? ??? ????
2. 12 ?????
7 ??????? ??????? ?"? ????
8,9,10 ??????? ?? ??????
11,12- "????? ??????"
????? ??? ???? ????? ??"? ???? ?????? ??? ??? ????? -suprasternal noch ???? ??? ???????
Sternal angle ?????? ??? ???????? ????? ???? ????? ?????? ???? ???? ???
??????? ????? ?-3 ????? - ????????
????
????????
?????? ???? ???? ????? ??"? ??' ???? ??????
T4 ???? ????? ??????????
-suprasternal noch ???? ??? ???????
Sternal angle ?????? ??? ???????? ????? ???? ????? ?????? ???? ???? ???
??????? ????? ?-3 ????? - ????????
????
????????
?????? ???? ???? ????? ??"? ??' ???? ??????
T4 ???? ????? ??????????
3. ??? ??? ????? ????? ??????? ??? ?????? ??? ???? 11,12
????? ?????? ?? ????-????? ???? ???? ?-7
?????? ??????? ??????? ???? 1-12T
4. ????? ??????? ?? ?? ????? ???????? Midaxilary line
Anterior Axilary line
Posterior Axilary line
Midclavicular line
5. ????? ???? ???? ??? ???? ????? ??????- ????? ???? ?- 2-4 ??' ??? ???? ?????? ?? ????????
???? ??????-( ?????? ) - ????? ???? :
??? ???????????? ????? ??? 6
??? ????????? ????? ??? 8
???? ?????? -( ?????). ???? ????? T10
??????? ????? ???? T12
6. ???? ?????? - AP
7. ???? ????? - LATERAL
8. ?????????? ?? ?????? ????? ???????? ?????? ?"? ??? ????
????? ?????? ?????? ???? ????
?????? ??????? ??????
?????? ?????? ??????? ?????? ??????:
?????? ???????
??????
????????????
?????? ????? ????
????? CO2 ???? ?? ???? ??????
?????? ?????? ??????????? -5?? -10 ???? ?????????? +20
?????? ??????? ?"? ???????? ????? CO2 ???? ?? ???? ??????
?????? ?????? ??????????? -5?? -10 ???? ?????????? +20
?????? ??????? ?"? ????????
9. ????? ?????? ???????? ?? ??? ???? ????? ?????? ?? ????????
????? ?????? ?????? ????
????? ?????? ??? ??? ( ???????, ?????, ????? ??????)
?????? ?? ?? ??? ??? ???
????? ?????? ???? ???
???? ?????? ????? ?????? ?? ?????? ???? ???? ?????? ?? ?????
10. ???? ????? ???? ????? ??????? ?????? ????? ?????? ?????? ?? ???????
????? ???? ??????? ??? ???? ?????? ?????
???? ?????? ??? ??? ??? ????? ??? ?????
11. ??????? ?????? ????????? ??????? ?????? ????? ?????, ??' ?????/??????
????? - ????, ???? ,????? ????? ????????,????? ?????
????? ??????? ????? ?? ????? ?? ??? ???? ???????? ????? ????? ( ???????????? ?? ???? ?????? ?????? ??? ?????? ???? ?????? ????? ?????? ??? ??????)
????? ????? ?????????
?????? ??????? ?????? ??? ( ????? ????)
12. ??????? ??? ???? ( ???? + ??? ???? )
????? ????? ?????
????? ????? ???? ?????/ ??????
????? ?????? ???????? ???' ??????( pink puffer ,blue bloater,clubbing)
??????? ?? ???? ??? ???? ( barrel chest )
????? ?????? ??? ?? ???
????? ?????
13. ??????? ?? ??? ??????? ?? ???, ???? ?????? ????? ?????
???????? ?? ????
???? ??? ???? ???? ????????? ?????????
???? ??? ???? ????-????? ?????????? ????? ???? ?? ???? ( ??????? =??? 1:2 ?? 5:7)
?????? ?? ?????? ( ???' ???????? ???? ?????)
14. ????? ???? ?????? ?????????/ ??????????- ????? ?????/ ?????
?????????- ????? ?????, ?????
????????- ????? ?????????? ?? ???? ?????
Orthopnea ???????? ??????? ?????? ????? ( ???? ??? ??? ????? ??)
PND ????? ???? ????? ( ???????? ???? ?????) ??????? ?? ????? ?????
15. ???? ????? ???????- ????? ????? ??? ????? ??????? ??????? ???????? ?????? ?? ??? ?? ????? ????? ?? ???????????
????? ?'???????- ????????? ??????? ?????? ?????? ????? ?????? ?????? ???? ???? ??? ??????, ?????, ??????? ?????? ????????
16. ????? ?? ??? ????? ?? ??? ????
????? ????? ?? ???? ?? ???
????? ?????? ?????????
????? ??????? ????? ????? ??????
????? ????????= ??????? .3-????? ??????? ?????- ?????? ?? ???????? ????? ??? 10 ???? 2 ?????? ?????? ?? ??? ????- ????? ????? ??? ?????? ??? ???????? ?????? ???"? ??????? ????? ?????? ?? ????? ??? ????????
??????? ???????? ????? ?? ??' ???????? ?? ?????? ?? ???????
2-????? ?????? ?
??????? ?? ??????
????? ???????
.3-????? ??????? ?????- ?????? ?? ???????? ????? ??? 10 ???? 2 ?????? ?????? ?? ??? ????- ????? ????? ??? ?????? ??? ???????? ?????? ???"? ??????? ????? ?????? ?? ????? ??? ????????
??????? ???????? ????? ?? ??' ???????? ?? ?????? ?? ???????
2-????? ?????? ?
??????? ?? ??????
????? ???????
17. ??????? ??????? = ????????? ?? ??? ???? ????? ???? ???? ?????? ?? ????? ???? ?????? ????? ????? ???????? ???? ?????? ???? 44
??? ???? ??????? ??? ???? ???? ???? ?? ????
???? ???? ??????? ????? ??????? ?? ???? ??????? ?? ?? ???
?????? ????? ??????? ??????? ??? ??? ?????? ???? ???? ??????? ????? ??????? ?? ???? ??????? ?? ?? ???
?????? ????? ??????? ??????? ??? ??? ??????
18. ??????? ?????? ??????? ?????
???? ?????
??? ??????/ ?????
??????? ?????
???????????
??????? ????
????? ??????? ( ??? ???? ??????? ???? ??? ???? "??????" ???? ???? ?????? ???)
19. ????? ????? ????? ???? ????? ??????
????? ? ?????
?????
???? ?????? 5-7 ?"?
?????? ???? ????? ?? ???? ?????? ?????? ???? ????? ( ????? ????? ?????? ???? ????? ?? ???????? ?? ????? ??????
20. ?????? ?????? ??????
21. ???? ?????? ?????? ??????????
22. ????? ????????? ?????? DULLNESS (??? ????) ?????? ?? ???? ????? ?????? ?? ???? ?????? ?????
HYPER RESONANCE (????? ???) ???????? , ????? ??????????? ??????
23. ???? ???????
24. ??????????
25. ???????
26. ?????
???? ?????? ????? ????? ??? ??? ????????????????
???? ????? ????? ?????? ?????? ?????
????? ??????? ???? ???? ??? ???
?????? ????? ???? ??????? ??????
????? ???? ??? ???? ????? ??????
???????? ?????????? ?????????? , ?????, ???? ???? ??????
27. ????? ?????? ????? ????????- ???? ????? ????? ?????? ????? ?? ???? ?????? white noise
?????? ?????? ???? ?????? ( ???????? ?? ??????????)
??????? ??? ???? ????? ?? ???? ????
???? ????? ????? ?? ??????? ??????? ???? ?????? ??????? ??? ??? ????? ?? ??????
29. ????? ?????- ??????????
30. ????? ????? ??????????- ????? ????? ?????? ??"? ??? ????? ???? ???????? ??????????? ???????
?????? ???? ???????????
????? ???? ???????
?????? ?????? ?????????
???? ??? ?????????? /????????? 1:2
?????? ????????????? ?????? ???? ??????? ????????????
31. ????? ??????????
32. ????? ????? ?????????? ?????? ???????????? ????? ?? ?????? ???? ??????? ?????????????
????? ?????? ?? ????? ?????
?????? ???? ????? ????? ???? ??? ????????? ???? ???????? ????? ??? ????
???????- ???? ????? ??????? ???????? ????? ?"? ?????? ?? ???? ?? ??? ??? ???? ???????
33. ????? ?????? ?????????
34. ????? ????????? ??????? CRACKLES ( ????? ???? ??????? )
?????? ??"? ????? ?? ???????? ?????? ????? ??????
?????
??????? WHEEZES ( ????? ???? ????? ????) ??????? ??"? ??????????, ????? ??????
??????? RUBS( ??? ????? ???) ??"? ?????? ?? ??????? , ???? ???? ?????? ????? ?????? ??????????? ???? ?????? ????? ?? ??????
35. - CRACKLES???????
36. ??????? - WEEZING
37. ????????
38. ?????? ??? ?????? ?????
????? ???
CT
????? ?????
MRI
????????????
????? ?? ????? ???? ???? ?? ????
??? ???????????? ???????????
39. ???? ?? ??????